Organization
QUARTZ MOUNTAIN MEDICAL CENTER ANCILLARY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY CRABB (CHIEF EXECUTIVE OFFICER)
(580) 782-3353
Entity
Organization
Contact information
Practice address
1415 WATTS ST, SAYRE, OK 73662-1310
(580) 928-2044
Mailing address
1 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3353
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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